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This article discusses the implementation of a safety bundle for operative vaginal birth (OVB) and its impact on birth outcomes. The bundle includes routine intrapartum ultrasound, a structured time-out, and a procedural checklist. A retrospective cohort study was conducted, comparing births where the bundle was and was not used. The study found that the use of the bundle was associated with fewer neonates delivered in an unexpected position and a trend towards reduced neonatal morbidity. The authors conclude that the use of a safety bundle for OVB may improve perinatal outcomes. [Extracted from the article]